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Year : 2016  |  Volume : 12  |  Issue : 4  |  Page : 370-372

Laparoscopic side-to-side pancreaticojejunostomy for chronic pancreatitis in children


1 Department of Pediatric Surgery, University of Tokyo Hospital, Tokyo; Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan
2 Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan
3 Department of Pediatric Surgery, Saitama Children's Medical Center, Saitama, Japan

Correspondence Address:
Hiroo Uchida
Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai, Showa, Nagoya - 466-8550
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.182655

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Surgical pancreatic duct (PD) drainage for chronic pancreatitis in children is relatively rare. It is indicated in cases of recurrent pancreatitis and PD dilatation that have not responded to medical therapy and therapeutic endoscopy. We performed laparoscopic side-to-side pancreaticojejunostomy for two paediatric patients with chronic pancreatitis. The main PD was opened easily by electrocautery after locating the dilated PD by intraoperative ultrasonography. The dilated PD was split longitudinally from the pancreatic tail to the pancreatic head by laparoscopic coagulation shears or electrocautery after pancreatography. A laparoscopic side-to-side pancreaticojejunostomy was performed by a one-layered technique using continuous 4-0 polydioxanone (PDS) sutures from the pancreatic tail to the pancreatic head. There were no intraoperative or postoperative complications or recurrences. This procedure has cosmetic advantages compared with open surgery for chronic pancreatitis. Laparoscopic side-to-side pancreaticojejunostomy in children is feasible and effective for the treatment of chronic pancreatitis.






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